蒲辅周从心肝肾治疗眩晕型神经官能症探究  

Analysis on the treatment of vertigo-type neurosis from heart,liver and kidney by PU Fu-zhou

作　　者：常菁菁 李桂侠[1] 和石情 汪卫东[1] CHANG Jing-jing;Li Gui-xia;HE Shi-qing;WANG Wei-dong(Department of Psychology,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053;Gradute School,Beijing University of Chinese Medicine,Beijing 100029)

机构地区：[1]中国中医科学院广安门医院心理科,北京100053 [2]北京中医药大学研究生院,北京100029

出　　处：《湖北中医药大学学报》2024年第5期110-113,共4页Journal of Hubei University of Chinese Medicine

基　　金：国家自然科学基金项目(项目编号:82004349);北京中医药文化资源调查专题项目(项目编号:WHZX-2020-100)。

摘　　要：蒲辅周为中医大家,临床经验丰富,其认为眩晕型神经官能症与心肝肾脏腑密切相关,肝为其首,当先受之,肝肾同源,影响肾根,或年过半百,肾阴亏虚,肝肾累及于心,心失所主,为眩晕型神经官能症发生发展过程,治疗应以疏肝滋肝,敛肾补肾,镇心养心为要。在调节病机的同时,亦不应忽视病程、剂型、服法等问题,方能使患者神志安定,眩晕得除。本文从史料探究蒲辅周从心肝肾治疗眩晕型神经官能症的认识与思路,并附医案两则,以期为临床治疗提供参考。PU Fu-zhou,a famous doctor of TCM with rich clinical experience,thinks that vertigo-type neurosis is closely related to the heart,liver and kidney viscera.The liver is the first to suffer,and the liver and kidney are homologous,which affects the kidney root.Kidney yin deficiency at the age of 50,liver and kidney involved in the heart,the heart loses its governing,is the development of vertigo-type neurosis.Treatment should be to dredge and nourish the liver,converge and tonify the kidney,and calm and nourish the heart.In addition to the regulation of the disease mechanism,the course of the disease,the dosage form and the method of administration should not be neglected,so that the patients can really achieve the stabilization of the mind and the removal of vertigo.This article explores the understanding and ideas of PU Fu-zhou in treating vertigo-type neurosis from the heart,liver and kidney from historical materials with two medical cases,in order to provide some reference for clinical treatment of vertigo-type neurosis.

关 键 词：眩晕 神经官能症 心肝肾 蒲辅周 

分 类 号：R249.2[医药卫生—中医临床基础]